Pettaway, Teri Kaye

Pettaway, Teri Kaye is an individual health care provider with primary practice located at 129 N Washington St , Sumter SC 29150-4949. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Pettaway, Teri Kaye can be contacted via phone (803) 774-9000.

Contact Information

Primary practice address
129 N Washington St Sumter SC 29150-4949
Phone: (803) 774-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 28655 South Carolina

Profile Details

NPI number 1376322172
LBN Legal business name Pettaway, Teri Kaye
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2023
Last updated May 28th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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